RAFAEL DECARLO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001364

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

DECARLO

Business Name

RAFAEL DECARLO

Original Issue Date

11/16/1934

Effective Date

11/16/1934

Expiration Date

07/01/1982

City

RED BANK

State

Zip

07701

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/25/2006